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Blakely Wise, PA
NPI 1396201935 · on the registry since 2019
Practice
- Address
- 20036 Zion Ave
Ste 100
Cornelius, NC 28031 - Phone
- (704) 801-7400
- Clinicians at this address
- 8
Additional practice sites
- 1000 Blythe Blvd, Charlotte, NC
- 2301 Us Highway 74 W, Wadesboro, NC
- 1100 Blythe Blvd, Charlotte, NC
- 201 E Grover St, Shelby, NC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina